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Longitudinal Evaluation of a Statewide Quality Improvement Program for Nursing Homes
Marilyn Rantz1, Nicky Martin1, Isabella Zaniletti2
1Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Journal of the American Medical Directors Association
|February 3, 2024
Summary
The Quality Improvement Program for Missouri (QIPMO) helped nursing homes improve care quality. Moderate use of QIPMO services led to the best quality measure improvements, suggesting optimal resource allocation for nursing home quality initiatives.
Area of Science:
- Healthcare Quality Improvement
- Geriatric Care Management
- Public Health Policy
Background:
- The National Academies of Sciences, Engineering, and Medicine (NASEM) recommends state-based technical assistance for nursing homes.
- The Quality Improvement Program for Missouri (QIPMO) was established to meet this recommendation.
- Nursing home quality improvement is crucial for the care of older adults.
Purpose of the Study:
- To evaluate the Quality Improvement Program for Missouri (QIPMO).
- To compare nursing home quality measures and characteristics based on QIPMO service intensity.
- To provide insights into effective technical assistance strategies for nursing homes.
Main Methods:
- A descriptive longitudinal study evaluated 510 Missouri nursing homes from 2020-2022.
- Quality measure (QM) data were obtained from Centers for Medicare and Medicaid Services (CMS).
- Nursing homes were categorized into quartiles based on the intensity of QIPMO services utilized.
Main Results:
- All nursing home groups showed improvement in quality measures over time.
- Nursing homes using moderate QIPMO services (Group 2) demonstrated the most significant quality improvements.
- Higher service intensity (Group 4) correlated with the least improvement, despite high resource utilization.
Conclusions:
- QIPMO successfully stimulated statewide nursing home quality improvements.
- The intensity of technical assistance services influences the degree of quality improvement.
- States should consider implementing similar programs to enhance care for older adults.
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